Healthcare Provider Details

I. General information

NPI: 1164859393
Provider Name (Legal Business Name): KAREN FENN LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MISS KAREN SFORZA

II. Dates (important events)

Enumeration Date: 10/02/2013
Last Update Date: 08/11/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1059 HUNTINGDON AVE
WATERBURY CT
06704-1402
US

IV. Provider business mailing address

24 DIANE DR
BARKHAMSTED CT
06063-1800
US

V. Phone/Fax

Practice location:
  • Phone: 203-527-6463
  • Fax:
Mailing address:
  • Phone: 860-484-9891
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number4288
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: